Common Contracts
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One Month Funded Trial AgreementAugust 28th, 2020
☐ I-13 Please Select Mount☐ Table Top☐ Floor Stand ☐ I-16 Please Select Mount☐ Table Top☐ Floor Stand ☐ I-110 Keyguards Mount Options ☐ Table Top☐ Floor Stand☐ Wheelchair* *Only one mount can be supplied Head Tracking ☐ Indi 7☐ SC Tablet ☐ SCF 2x2☐ SCF 3x3 ☐ C5 4x3☐ C5 6x4 ☐ Headmouse☐ TrackerPro ☐ SCF 4x4 ☐ C5 7x5 Switches ☐ SCF 5x5☐ SCF 6x6 ☐ C5 8x5☐ C5 8x6 ☐ Buddy Button☐ Microlight If selecting a Wheelchair Mount, please also select a fastener: ☐ Round Tube ☐ Side ClampIf you are not sure which Chair Fastener is needed, please specify wheel chair make and model: ☐ Channel Nut ☐ Permobil
